Wufoo

FBES Parent & Child Summer Day Camp Registration

Complete this form to register you and your child for a 2008 Ferry Beach Ecology School Parent & Child Summer Day Camp Session

Child's Name * First Last
Child's gender * Boy Girl
Date of Birth * / MM / DD YYYY
Entering Grade (camps are for grades K-6 aged children) *

enter the grade your child will join in the Fall of 2008
Attending Adult's Name * First Last
Relationship to child *
Your Mailing Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone * - (###) - ### ####
Cell Phone * - (###) - ### ####
E-mail address we can contact you at *
Choose the Parent & Child Day Camp session you are interested in attending: * June 30-July 3rd (Mon-Thurs) July 7-11 (Mon-Fri) July 14-18 (Mon-Fri) July 21-25 (Mon-Fri)
please choose one of the sessions you are interested in joining.
Preferred Method of Contact * Phone Mail Email
Tell us the best way to communicate with you
Do Not Fill This Out